KENNETH SULLIVAN, MD
Family Medicine
Active
Individual
NPI: 1902899917
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Emergency Medicine | 207P00000X | No | 40493-020 (WI) |
| Family Medicine | 207Q00000X | Yes | 40493-020 (WI) |
| Surgery | 208600000X | No | 40493-020 (WI) |
Frequently Asked Questions
NPI 1902899917 is the National Provider Identifier for KENNETH SULLIVAN, MD, a Family Medicine provider located in Berlin, WI. This NPI was enumerated on August 24, 2005.
KENNETH SULLIVAN, MD practices at 225 MEMORIAL DR, Berlin, WI 54923.
Quick Facts
- NPI
- 1902899917
- Type
- Individual
- Enumerated
- Aug 24, 2005
- Last Updated
- Sep 11, 2025
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